sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.266020

Clinical Sciences

Klinik Tıp Bilimleri

Chevron Osteotomy with Herbert Screw Fixation for Treatment of Hallux Valgus Deformity Results

Emre

Tuluhan Yunus

Gelişim Üniversitesi

09 01 2017

24 3 75 83 11 14 2016

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

GirişHalluksvalgus 1.parmağın abduktor ve adduktor kaslarında gelişendengesizlik sonucu meydana gelen ağrılı bir deformitedir. Chevronosteotomisi hafif ve ortaşiddette seyreden halluks valgusdeformitelerin cerrahi tedavisinde etkili bir yöntemdir. Gereçve YöntemOrtopedive Travmatoloji kiliniğine başvuran, hafif ve orta şiddetli ağrılıhalluks valgus deformitesi olan 33 genç hasta çalışmaya dahiledildi. Herbert vidası kullanılarak distal chevron osteotomyuygulanan hastalar ortalama 18 ay (6-30 ay) takip edildi. Hastalarındeğerlendirilmesinde preoperative ve postoperative 12. ayda TheAmerican Orthopedic Foot and Ankle Society’s (AOFAS)hallux-metatarsophalangeal-interphalangeal skalası kullanıldı.SonuçlarPreoperatifve postoperatif ortalama halluks valgus açıları (HVA) sırasıyla28.93 ° ± 6.66º ve 9.48 ° ± 3.21 ° olarak ölçüldü. HVAarasındaki fark istatistiksel olarak anlamlı bulundu (p=0.0001).İntermetatarsal açı (İMA) ise preoperative dönemde ortalama 11.51 ° ± 2.41 ‘den postoperatif dönemde ortalama 7.53°± 2.10°‘yedüştüğü saptanmıştır (p = 0.0001). Metatarsofalanjialdorsifleksiyon derecesinde 52.48 ° ± 9.71 °’den 61.90 ° ±10.47 °’ye yükselme gözlenmiştir (p = 0.0001). Plantarfleksiyon skorlarında ise anlamlı yükselme saptanmıştır (p= 0.0001). Preoperatif AOFAS skoru ortalaması 43,77 ± 14.14 iken postoperatif dönemde ortalama 85.38 ± 14.34 olarak saptanmıştır (p = 0.0001).TartışmaHalluksvalgus cerrahisinde Herbert vidası ile yapılan Chevron osteotomisiile kalıcı rotasyonel ve translasyonel stabilitesağlanabilmektedir.

Halluks valgus Chevron osteotomy

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